MEDICARE: HEIDI D. LENCOSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35092835	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174706170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI D. LENCOSKI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 636643
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6643
Country	:	US
Telephone Number	:	440-989-3801
Fax Number	:	440-960-0264

Provider Business Practice Location Address
First Line	:	5054 WATERFORD DR
Second Line	:
City	:	SHEFFIELD VILLAGE
State	:	OH
Zip	:	44035-1497
Country	:	US
Telephone Number	:	440-934-8344
Fax Number	:	440-934-8345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	09/10/2025

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